FORM 1023-EZ for CLEAN LIVING EXCEPTIONAL ALTERNATIVE RECOVERY RESIDENCES CLEARR

Field Data
EIN 84-3838995
Case Number EO-2019350-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAN LIVING EXCEPTIONAL ALTERNATIVE RECOVERY RESIDENCES CLEARR
Organization’s Mailing Address 222 MINERVA AVE
City GLENWOOD
State IL
ZIP 60425
Accounting period End 12
Primary contact name KEVIN TYLER SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN TYLER SR
PRESIDENT, DIRECTOR
222 MINERVA AVE
GLENWOOD IL 60425

Officer/Director/Trustee Two

KEVIN TYLER JR
SECRETARY, DIRECTOR
222 MINERVA AVE
GLENWOOD IL 60425

Officer/Director/Trustee Three

JACKIE TAYLOR
TREASURER, DIRECTOR
222 MINERVA AVE
GLENWOOD IL 60425

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN TYLER SR
Signature Title PRESIDENT, DIRECTOR
Signature Date 12/13/2019

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